Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,383.22 / $10,170.00	Facility		$2,220.00	$4,383.22	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,512.84 / $3,288.18 / $5,419.68	Professional		$2,512.84	$3,288.18	$5,419.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,869.00	Facility		$4,100.00	$7,264.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,246.15 / $2,789.34 / $6,317.83	Professional		$2,246.15	$2,789.34	$6,317.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,911.85 / $3,911.85 / $37,499.62	Facility		$3,911.85	$3,911.85	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,911.85 / $3,911.85 / $3,911.85	Professional		$3,911.85	$3,911.85	$3,911.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,064.82 / $7,227.90	Facility		$1,765.00	$3,064.82	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,052.96 / $4,079.54 / $9,886.71	Professional		$2,052.96	$4,079.54	$9,886.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,428.65 / $7,054.94	Facility		$332.00	$2,428.65	$7,054.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,821.98 / $3,675.91 / $5,501.19	Professional		$2,821.98	$3,675.91	$5,501.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,535.11 / $2,535.11 / $2,535.11	Facility		$2,535.11	$2,535.11	$2,535.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,255.11 / $3,266.06 / $5,068.92	Professional		$2,255.11	$3,266.06	$5,068.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,064.82 / $7,227.90	Facility		$597.00	$3,064.82	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,499.67 / $3,951.99 / $9,093.27	Professional		$2,499.67	$3,951.99	$9,093.27
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $2,228.80 / $3,159.15 / $7,713.29	Professional		$2,228.80	$3,159.15	$7,713.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,266.06 / $3,266.06 / $9,764.66	Facility		$3,266.06	$3,266.06	$9,764.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,255.11 / $3,663.02 / $6,943.38	Professional		$2,255.11	$3,663.02	$6,943.38